Pretibial Edema Is One of the Sign of Thyrotoxicosis A Case of Thyroid Heart Disease and Unilateral Pretibial Edema
Abstract
Thyroid heart disease is one of the many and frequent complication of thyrotoxicosis, which also manifest in extra cardiovascular system.Opthalmopathy is a well-known and well-studied complication of thyro-toxicosis, and another is dermopathy, which manifests as pretibial edema.
This case presentation describes a patient of long standing thyrotoxicosis with thyroid heart disease. In this particular case, the patient developed unilateral pretibial edema which posed a diagnostic challenge.
In dealing with that, it would be important to con-sider several differential diagnosis. Some of the differ-ential diagnosis of unilateral pretibial edema are actu-ally not proven due to limited hospital stay, but an analysis of differential diagnosis will be presented and hopefully will lead to better recognition of clinical symptoms and signs of thyrotoxicosis, its complica-tions and lead to appropriate diagnostic studies.
Downloads
Download data is not yet available.
References
Goldman LE, Sahlas DJ, Sami M. A case of thyrotoxicosis and reversible systolic cardiac dysfunction. Can J Cardiol1999; 15:811-814
Klein I, Ojamaa K. Thyroid hormone and the cardiovascular system. N Engl J Med2001; 344(7):501-9
Schwartz KM, Fatourechi V, Ahmed DF, Pond GR. Dermopathy of Graves’ Disease (Pretibial Myxedema): Long-Term Outcome. J Clin Endocrinol & Metab2002;87(2): 438-446
Kaplan MM. The thyroid and the heart: How do they interact? J Cardiovasc Med1982;7:893
Constant J. Bedside Cardiology. Lippincott-William Wilkins. 1999.24
Gorman PW, Davis KR, Donnelly R. ABC of arterial and venous disease. Swollen lower limb—1: General assessment and deep vein thrombosis. BMJ2000;320:1453-6
Birdwell BG, Whitsett TL. Evaluation of the swollen leg. 1995. Available at http://meded.ucsd.edu/isp/1994/im-quiz/quiz3.htm#q27. Last accessed February 10, 2005
Zevitz ME. Heart Failure. Emedicine Clinical Series. Available at http://www.emedicine.com/med/topic3552.htm.
Blum K. Heart Failure. AACN Clinical Series 2003;14(4); 498-511. Available at http://www.aacn.org/pdfLibra.NSF/Files/Article%20CI1442/$file/CI140406.pdf.
Schereiber D. Deep venous thrombosis and thrombophlebitis. Emedicine Clinical Series. Available at http: www.emedicine .com/med/topic2785.htm.
Bates SM, Ginsberg JS. Treatment of deep venous thrombosis. N Engl J Med2004;351:268-77
Hook WE. Microbiologic evaluation of cutaneous cellulitis in adults. Arch Intern Med146:295, 1986
McGavin CR, Clancy LJ. Cellulitis in complicated pneu-mococcal pneumonia. Br J Dis Chest. 1977;71(3):213-4
Mortimer PS. ABC of arterial and venous disease. Swollen lower limb—2: Lymphedema. BMJ2000:320;1527-9
Klein I, Ojamaa K. Thyroid hormone and the cardiovascular system. N Engl J Med2001; 344(7):501-9
Schwartz KM, Fatourechi V, Ahmed DF, Pond GR. Dermopathy of Graves’ Disease (Pretibial Myxedema): Long-Term Outcome. J Clin Endocrinol & Metab2002;87(2): 438-446
Kaplan MM. The thyroid and the heart: How do they interact? J Cardiovasc Med1982;7:893
Constant J. Bedside Cardiology. Lippincott-William Wilkins. 1999.24
Gorman PW, Davis KR, Donnelly R. ABC of arterial and venous disease. Swollen lower limb—1: General assessment and deep vein thrombosis. BMJ2000;320:1453-6
Birdwell BG, Whitsett TL. Evaluation of the swollen leg. 1995. Available at http://meded.ucsd.edu/isp/1994/im-quiz/quiz3.htm#q27. Last accessed February 10, 2005
Zevitz ME. Heart Failure. Emedicine Clinical Series. Available at http://www.emedicine.com/med/topic3552.htm.
Blum K. Heart Failure. AACN Clinical Series 2003;14(4); 498-511. Available at http://www.aacn.org/pdfLibra.NSF/Files/Article%20CI1442/$file/CI140406.pdf.
Schereiber D. Deep venous thrombosis and thrombophlebitis. Emedicine Clinical Series. Available at http: www.emedicine .com/med/topic2785.htm.
Bates SM, Ginsberg JS. Treatment of deep venous thrombosis. N Engl J Med2004;351:268-77
Hook WE. Microbiologic evaluation of cutaneous cellulitis in adults. Arch Intern Med146:295, 1986
McGavin CR, Clancy LJ. Cellulitis in complicated pneu-mococcal pneumonia. Br J Dis Chest. 1977;71(3):213-4
Mortimer PS. ABC of arterial and venous disease. Swollen lower limb—2: Lymphedema. BMJ2000:320;1527-9
Views & Downloads
Abstract views: 3575
PDF downloads: 2648
PDF downloads: 2648
How to Cite
Martha, J. (1). Pretibial Edema Is One of the Sign of Thyrotoxicosis A Case of Thyroid Heart Disease and Unilateral Pretibial Edema. Indonesian Journal of Cardiology, 28(4), 310-314. https://doi.org/10.30701/ijc.v28i4.235
Issue
Section
Case Reports
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
